Organization
CHIROPRACTIC HEALTH, P.C.
Active
Other names
Dr. Randy Russo Chiropractic Health P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDOLPH J RUSSO D.C. (PRESIDENT)
(914) 419-0172
Entity
Organization
Contact information
Practice address
16 SQUADRON BLVD STE 102, NEW CITY, NY 10956-5268
(845) 634-2225
(845) 634-2227
Mailing address
16 SQUADRON BLVD STE 102, NEW CITY, NY 10956-5268
(845) 634-2225
(845) 634-2227
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008265
NY
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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